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Speed Camp Registration Form

Please fill out and submit. Note - do not navigate away from this form as it will reset the form. If needed please open a new window to check the calendar.

First Name: *
Last Name: *
Address: *
City: *
State: *
Please enter the day and time of the Speed Camp that you'd like to attend from the calendar. (again please note DO NOT navigate away from this page is will reset the form - please open a window to look at the event calendar):
Zip Code: *
Method of Payment	Check
	Cash
please make check payable to BCSS Fitness cost of 12 Hour Speed Camp is $300.00 Camp is limited to 8 athletes Gatorade and water will be available during camp Custom designed athlete shirt with registration

Release & Waiver of Liability - Assumption of Risk Agreement

Please read carefully, fill out and submit with Registration Form

1. That, BCSS Fitness, advised me, prior to commencement of my participation in the program, that my physical condition an my suitability for a sports conditioning program be professionally and independently evaluated.

2. THat, BCSS Fitness, advised me, prior to my commencement of participation in the program, that such participation involves vigorous exercise, which could result in physical injury. Please note that BCSS Fitness coaches will take every conceivable precaution to maintain the health and wellness of it's athletes.

3. That, I freely and knowingly assume the risk inherent in participation in the program and hereby, make known, that I will hold blameless, waive any right, claim, or cause of action against BCSS, its officers, directors, employees and agents, and release them from any liability for any injury, cost, damage, expense, or claim, which I , or anyone on my behalf, might have as a direct, or indirect result, of my participant in the speed development program.

4. That, I have read the foregoing, understand and agree with, each of the foregoing, and have printed a copy of this agreement for myself on the date below.

Signature: *
Date: *
Parent or Guardian Signature (required if participant is under 18 years old):
Date:

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